Saturday, 22 December 2012

Emedinews:Insights on Medicolegal Issues:What is the patient autonomy?



The process of understanding the risks and benefits of treatment is known as informed consent however patient/legal heir must have the capacity to make the decision and understand the benefits and risks of medical care and voluntarily grant consent, without coercion or duress based on the moral and legal premise of patient autonomy.
  • The patient has the right to make decisions about his/her own health and medical conditions and must give voluntary informed consent for treatment, medical tests and procedures.
  • The doctor should give information about a particular treatment or test to the patient in order to decide whether or not he wishes to undergo such treatment or test. This is based on the moral and legal premise of patient autonomy.
  • The legal term for failing to obtain informed consent before performing a test or procedure on a patient is a form of assault a criminal offence in India.
  • For many interactions like a physical exam with the doctor, implied consent is assumed. For more invasive tests or for those tests or treatments with significant risks or alternatives, you will be asked to give explicit written consent.
  • Under certain circumstances there are exceptions to the informed consent rule. The most common exceptions are an emergency in which medical care is needed immediately to prevent serious or irreversible harm and incompetence in which someone is unable to give or refuse permission for testing or treatment.

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